Patient care system

Abstract: A patient care system comprises a bed including an inflatable mattress supported on a platform of articulatable links by a support system mounted on a weigh frame. The platform (822) is configured to support a person and includes first and second panels (824, 826) having respective upwardly facing support surfaces and adjacent edges (824a, 826a), and means (828) for varying the angle of said first panel (824) relative to said second panel (826) and changing the distance between said respective adjacent edges (824a, 826a) of said first and second panels (824, 826).

Description: This invention relates generally to beds, and more particularly, to a bed and associated features facilitating care of a patient supported on the bed. Hospital bed designs have recently been undergoing a transformation. Early beds were very basic devices providing limited patient support and care features. More recently, bed designs have been taking advantage of technological developments to provide improvements in bed articulation, mattress inflation, patient access, convenience and control. The following paragraphs illustrate some of the designs that are currently known. Healthy people typically spend approximately one third of their time sleeping. People of what may be considered less than optimum health spend even greater amounts of time reclining. Beds of various forms have been developed in order to provide comfort to the user. This is particularly true of patients in hospitals and health care facilities, as well as those in homes who, for various reasons, are bed ridden. Once one is in bed for extended periods of time in a situation or condition that does not allow movement in order to maintain comfort, complications, such as bed or pressure sores may develop. One way that this condition has been alleviated is to build beds having support surfaces that can be moved into various orientations and configurations. Representative examples of such beds are disclosed in U.S. Pat. Nos. 3,081,463 issued to Williams et al.; 4,038,709 issued to Kerwit; 4,099,276 issued to Hunt et al.; 4,371,996 issued to Nahum; 4,745,647 issued to Goodwin; 4,935,968 issued to Hunt et al.; and 5,023,967 issued to Ferrand; and French Pat. No. 87 16722 issued to Pupovic. Each of these patents disclose beds having platforms formed of a set of panels that pivot for assuming configurations corresponding to various positions of a person's legs and torso. Each of these provide a back panel that supports a person's torso and a seat portion that supports the person's hips or hips and thighs. These panels are typically hinged together or caused to pivot about a fixed joint corresponding to the hip joint. It has been observed that the surface length of the buttocks increases when a person moves from a flat reclining position to a sitting position. Fixed joints do not allow for this variation in body surface length, thereby requiring the reclining person to adjust her or his body to accommodate it. If the person is immobile, such accommodation is not possible. There therefore remains a need for a bed interpanel joint that is not fixed, but rather compensates for changes in the body surface during bending. EP-A-0,132,203 discloses a bed comprising a platform configured to support a person and including first and second panels and means for varying the angle of the first panel relative to the second panel and for changing the distance between adjacent edges of the first and second panels. According to the present invention there is provided a bed for supporting a person comprising a support platform coupled to a bed frame and having first and second panels with upwardly facing support surfaces, one longitudinal edge of the first panel positioned substantially parallel to and adjacent to a longitudinal edge of the second panel, and an articulating seat joint assembly coupling the first panel to the second panel, said assembly varying the distance between the edges of the panels as the angle between the panels is varied, characterised in that said joint assembly includes a drive assembly pivotally connected between the first and second panels, the drive assembly rotating the first panel about its longitudinal edge relative to the second panel, and a separation-varying hinge assembly for altering the distance between the adjacent panel edges while moving the longitudinal edge of the first panel along a predefined arc. The drive assembly may include a first support attached to the first panel, a second support attached to the second panel, said first support and second support each having a distal portion spaced from said respective panel, and an extension rod and drive cylinder connecting the distal portions of said first and second support whereby the distance between the distal portions of said first and second support is varied as the rod and cylinder are operated. The separation varying hinge assembly may include a base member, a first link arm pivotally connecting the base member to the first panel, and a second link arm pivotally connecting the base member to the second panel, and a coupling member connecting the first and second link arms such that the distance between the panels is varied and the longitudinal edge of the first panel moves along the arc upon movement of the base member relative to said panels. The base member may be slidably mounted to the extension rod. The coupling member may include a coupling link interconnecting the first and second link arms. Alternatively the coupling member may comprise a first pinion fixedly attached to said first link arm and a second pinion fixedly attached to said second link arm, said first and second pinions having meshing teeth. The longitudinal edge of the first panel and the longitudinal edge of the second panel may be continuously positioned along the predefined arc, and said predefined arc may be defined by the dimensions of the first link arm and the second link arm. By way of example only, an embodiment of the invention will now be described in greater detail with reference to the accompanying drawings of which: Fig. 1 is an isometric view of the hospital bed made according to the present invention. Fig. 111 is a partial isometric view of one embodiment of a bed made according to the invention with two joined panels in coplanar orientation. Fig. 112 is an enlarged view of the articulating joint of the bed of Fig. 111. Figs. 113,114 and 115 are side views of the bed of Fig. 111 showing the two panels in different angular orientations. FIG. 116 is a view similar to FIG. 111 showing the panels positioned as shown in FIG. 115. FIG. 117 is a view similar to FIG. 111 of the preferred embodiment. FIG. 118 is a view similar to Fig. 116 of the embodiment of FIG. 117. FIGs. 119, 120 and 121 are side views of the bed of FIG. 117 showing two panels in different angular orientations. Referring initially to Fig. 1, a bed 100 made according to the invention is shown. Bed 100 includes a pneumatic system 102 for controllably inflating a mattress 104 supported on a platform 106 formed of mutually articulating links or panels 108, 109, 110 and 111. Panel 108 is at what is referred to as the head of the bed, and panel 111 is at the foot of the bed. Panel 111 also includes an extension portion 112 that includes an equipment housing 113. Each panel has a top plate 115 with a top, supporting surface 115a, and a subtending tray 117. Platform 106 is supported above a base assembly 120 by a supporting apparatus 122 that includes opposing hydraulic supports 124 and 126 mounted at spaced locations on the base assembly and at a common universal mounting hidden from view. This structure is like the structure described in U.S. Pat. No. 5,023,967 issued to Ferrand for "Patient Support System". Support 124 is referred to as a drive cylinder and support 126 is referred to as a swing arm. Additionally, there are opposing roll cylinders at the foot end of the bed, such as cylinder 128. A bed according to the present invention has a joint between platform panels that varies the distance between the panels as the angle between the panels varies. One embodiment of this feature of the invention is shown in Fig. 111 as a partial bed 820. Bed 820 includes a generally upwardly directed support surface or platform 822 formed of a first, back panel 824 and a second, seat panel 826. Panels 824 and 826 have respective adjacent edges 824a and 826a. Coupling panels 824 and 826 along these adjacent edges is an articulating seat joint 828. Bed 820 also includes, typically, additional panels joined to panels 824 and 826 for supporting the full length of a person's body, as well as a frame for supporting the platform above the floor, as is shown in Fig. 111. A mattress cushion 825, of some form is supported on the platform, as shown in dash-dot outline in Fig. 115. These other panels do not require the length-varying features provided by the present invention to the extent the seat joint does. Thus, although the invention is described herein specifically with reference to the seat joint, it will be understood that it can be applied equally well to other joints, and can be readily designed to provide different amounts of expansion or contraction of the joint, or different positions of the axis of panel rotation. Joint 828 forms what may be considered to be an expanding hinge. Thus, instead of hinging each panel at a common axis, they are hinged about respective axes 830 and 832, as shown, which axes move away from each other as the panels move from a coplanar or flat orientation for reclining, as shown in Figs. 111, 112 and 113, through an intermediate sitting position shown in Fig. 114, to a full sitting position, as shown in Figs. 115 and 116. Panels 824 and 826 actually rotate about an axis 831 of rotation, identified specifically in Fig. 115. This axis coincides with the hip joint of a person 833 supported on the bed. As a result, axes 830 and 832 move along an arc 835, shown in dashed lines in Figs. 113-115. The structure of joint 828 includes a drive assembly 834 for pivoting the two panels relative to each other, and a separation-varying hinge assembly 836 for varying the distance between the adjacent edges of the two panels, on each end of joint 828. The structure of one set of assemblies 834 and 836 are described, it being understood that the description applies to the structure on both ends. Drive assembly 834 includes two support members 838 and two support members 840 fixedly attached to and extending downwardly from the underside of panels 824 and 826, respectively. The bottom ends of the support members support, for pivoting movement, respective support blocks 842 and 844. An extension rod 846 is attached at one end to block 844 and passes through a bore, not shown, in block 842. A hydraulic drive cylinder 848, attached at one end to block 842, drives rod 846 outwardly or inwardly to vary the separation between blocks 842 and 844. Slidingly mounted on rod 846 is a base member 850. A first pair of link arms 852 and 853 are mounted at one end to base member 850 for pivoting about an axis 856 adjacent to block 844, as shown. The upper ends of arms 852 and 853 are pivotably mounted to panel 824 for pivoting about hinge axis 830. Similarly, a second pair of link arms 854 and 855 are hingedly connected to base member 850 for pivoting about an axis 858 adjacent to block 842 and to panel 826 for pivoting about axis 832. Link arms 852-855 also have corresponding facing and meshing pinions 852a-855a, respectively. The teeth of these pinions mesh as arms 852, 853 and 854, 855 pivot about axes 856 and 858, respectively. The operation of bed 820, and more specifically, joint 828, is illustrated by the progression in relative angular displacement of panels 824 and 826 shown in Figs. 113-115. Fig. 113 shows panels 824 and 826 in a coplanar orientation, as would be appropriate for a person in a reclining position. With the panels in this orientation, the adjacent edges 824a and 826a are separated by a relatively small distance A and the teeth of pinions 852a-855a are meshed at the lower ends of the arc of teeth. Also, link arms 852-855 are in a generally upright orientation. As drive cylinder 848 extends rod 846 out, panel 824 pivots upwardly about axis 830, as shown by the progression illustrated by Figs. 114 and 115, as axis 830 moves along arc 835. Fig. 114 represents what may be considered an intermediate sitting position with adjacent edges 824a and 826a separated by a distance B greater than distance A. Figs. 115 and 116 represent a full sitting position with adjacent edges 824a and 826a separated by an even greater distance C. The outline of a person 833 sitting in bed 820 is shown in Fig. 115. The link arms also pivot about the respective axes 830 and 832, with axis 830 moving in arc 835 which is defined by the dimensions of arms 852-855. The two panel in effect both rotate about axis 831 and move away from a centerline 862 of joint 828. The pinions 852a-855a extend along a sufficient arc to allow for the relative movement of the panels through a desired range of angles. This angle is also limited by the length of arms 852-855, since as axes 830 and 832 approach a line 864 passing through axes 856 and 858, there is less leverage for moving the arms, and in the limit there ceases to be any increase in separation of the panels as axes 830 and 832 move parallel with centerline 862. It will also be appreciated that the joint expansion described and corresponding to the progression through Figs. 113-115, when reversed, results in a joint contraction. Also, by simply reversing the alignment of the upper ends of arms 852-855, so that arms 852 and 853 terminate at axis 830 and arms 854 and 855 terminate at axis 832, and extending the lengths of the arms with a reverse bend so that axes 830 and 832 are spaced apart when the panels are flat, the joint would contract as the angle between the panels is decreased from 180°. Figs. 117-121 illustrate a bed 870 that is another embodiment of the invention. The structure of bed 870 is preferred to that of bed 820 due to its mechanical simplicity and ease of manufacture. Bed 870 has some basic structural elements that are the same as those of bed 820. Thus, for simplifying the description of the bed, those structural features that are the same are given the same reference numbers as are used for bed 820. In this regard, bed 870 includes platform 822 comprising panels 824 and 826 that hinge about hinge axes 830 and 832, respectively, and support mattress 825. Drive assembly 834 includes support members 838 and 840 with blocks 842 and 844, respectively on the distal ends of the support members. Extension rod 846 is driven by cylinder 848 for varying the separation between the blocks. A seat joint 872 is different than seat joint 828 described above. Joint 872 includes link arms 874, 875, 876 and 877 hingedly connected at upper ends, such as ends 874a and 876a to panels 824 and 826 for pivoting about axes 830 and 832, respectively. Axes 830 and 832 move along arc 835 as the panels rotate about axis 831. Link arm 874 is connected at an intermediate point to a base member 878 for pivoting about an axis 880. Link arm 876 is connected at a lower end 876b to base member 878 for pivoting about an axis 882 so that the link arms cross, as shown. Lower end 874b of link arm 874 extends below base member 878 and is connected to one end of a coupling arm 884 for pivoting relative to the coupling arm. The other end of arm 884 is connected for pivoting to link arm 876 intermediate the link arm ends. The coupling arm functions as a coupling means similar to pinions 852a-855a of joint 828. This link arm, in combination with the connections between the lower ends of the link arms and the base member, assure that the link arms move concurrently in opposite rotation directions when the associated panels 824 and 826 are mutually pivoted. The operation of bed 870 is similar to the operation of bed 820, as is shown in Figs. 117-121. Figs. 117 and 118 show in isometric view and Figs. 119-121 show in side view different operative positions of panel 824 relative to panel 826. Fig. 119 shows the platform in a reclining position, Fig. 120 shows the back panel in a slightly inclined position, and Fig. 121 shows the back panel in a nearly upright, sitting position. The function of bed 870 is very similar to the function of bed 820. It will be noted that arm 874 has a general arched form extending away from coupling arm 884. The arch provides additional clearance allowing the panels to be placed at a more transverse angle, as shown in Fig. 121. Link arm 876 has a bend at the point of connection of the coupling arm. This structure of joint 872, including the dimensional lengths of and connections between the respective linkages, is selected so that both panels move substantially equivalently as the relative angle between the panels is changed. By varying the relative dimensions of these elements, other relative changes are possible. It will be apparent to one skilled in the art that many variations in form and detail may be made in the preferred embodiments as illustrated and described above without varying from the scope of the invention that the claims define. The preferred embodiments of the various features of the invention are thus provided for purposes of explanation and illustration, but not limitation.

Claims: A bed for supporting a person comprising a support platform (822) coupled to a bed frame and having first and second panels (824, 826) with upwardly facing support surfaces, one longitudinal edge (824a) of the first panel positioned substantially parallel to and adjacent to a longitudinal edge (826a) of the second panel, and an articulating seat joint assembly (828) coupling the first panel to the second panel, said assembly varying the distance between the edges of the panels as the angle between the panels is varied, characterised in that said joint assembly includes a drive assembly (834) pivotally connected between the first and second panels, the drive assembly rotating the first panel about its longitudinal edge (824a) relative to the second panel, and a separation-varying hinge assembly (836) for altering the distance between the adjacent panel edges while moving the longitudinal edge of the first panel along a predefined arc (835). The bed of claim 1 wherein the drive assembly includes a first support (838) attached to the first panel, a second support (840) attached to the second panel, said first support and second support each having a distal portion spaced from said respective panel, and an extension rod and drive cylinder (846, 848) connecting the distal portions of said first and second support whereby the distance between the distal portions of said first and second support is varied as the rod and cylinder are operated. The bed of claim 1 or claim 2 wherein the separation-varying hinge assembly includes a base member (850), a first link arm (852) pivotally connecting the base member to the first panel, and a second link arm (854) pivotally connecting the base member to the second panel, and a coupling member connecting the first and second link arms such that the distance between the panels is varied and the longitudinal edge of the first panel moves along the arc (835) upon movement of the base member relative to said panels. The bed of claim 3 when dependant from claim 2 wherein the base member is slidably mounted to the extension rod. The bed of claim 3 or claim 4 wherein said coupling member includes a coupling link (884) interconnecting said first and second link arms. The bed of claim 3 or claim 4 wherein said coupling member comprises a first pinion (852a) fixedly attached to said first link arm and a second pinion (854a) fixedly attached to said second link arm, said first and second pinions having meshing teeth. The bed of claim 1 wherein the longitudinal edge of the first panel and the longitudinal edge of the second panel are continuously positioned along the predefined arc. The bed of claim 1 wherein the predefined arc is defined by the dimensions of the first link arm and the second link arm.

Inventors: ALVORD LINCOLN J, FERRAND ROBERT J, FISH WILLIAM R, GILMARTIN WILLIAM A, GRASS WESLEY E, LOH WILLIAM, LOOPER JOHN E, MILLER DEAN T, NEDER CHARLES W, OAKLEY CELIA, O'CONNOR RICHARD W, ROE STEVEN N, SALZEDO JONATHAN, SMITH STEPHEN D, THOMAS MARC M, ALVORD, LINCOLN J., FERRAND, ROBERT J., FISH, WILLIAM R., GILMARTIN, WILLIAM A., GRASS, WESLEY E., LOH, WILLIAM, LOOPER, JOHN E., MILLER, DEAN T., NEDER, CHARLES W., OAKLEY, CELIA, O'CONNOR, RICHARD W., ROE, STEVEN N., SALZEDO, JONATHAN, SMITH, STEPHEN D., THOMAS, MARC M.
Applicants: HILL ROM CO INC, HILL-ROM, INC.
Application year: 1994
Main classification: A47C20
IPC codes: A61G7, A47C20, A61H7, A47C27, A47C21